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Showing results for tags 'Integrated Care System (ICS)'.
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Community-led approaches to health and wellbeing
Patient Safety Learning posted a calendar event in Community Calendar
untilCommunities are playing an increasingly important role in improving health and meeting the wellbeing needs of people locally, highlighted in part by their role in the response to the Covid-19 pandemic. Integrated care systems (ICSs) need to recognise the role communities can play in improving and sustaining good health, and as part of this they need to seek greater involvement with local voluntary, community and social enterprise (VCSE) groups at the place and neighbourhood level, where the link local communities is at its strongest. This conference will provide an opportunity to discuss the impact of community-led and person-centred approaches to improving health and wellbeing, and to explore what more can be done to build on community interventions, assets and solutions that developed as a response to the pandemic. It will also consider the challenges of demonstrating value and of working with communities to assess need and provide services. You will hear from community groups who have worked with others – including their ICS, local health system or local authority – to develop a collaborative approach to tackling health inequalities. -
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Content ArticleRead the full report (PDF) Read the report summary
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News Article
Delayed discharges rise in 17 ICSs despite Barclay’s £250m fund
Patient Safety Learning posted a news article in News
A high-profile £250m government intervention to free up hospital beds has so far failed to deliver any significant reduction in delayed discharges – with multiple systems instead reporting large increases. Steve Barclay announced the fund, including £200m to buy step-down residential care beds to speed up discharges, on 9 January, following a “recovery forum” crisis summit at 10 Downing Street. NHS England said in guidance on 13 January the funding must bring “immediate improvements”, and local leaders were again told to “maximise the impact of their areas’ allocation of the money in the run up to strikes on 6 February”. But according to official data, in the week the new money was announced, there was an average of 14,035 patients who did not meet the clinical “criteria to reside”, but were still waiting to leave hospital, equating to around one in seven occupied beds. The total numbers have barely changed since then, with an average of 13,975 cases reported in the week to 5 February, also representing one in seven occupied beds. Read full story (paywalled) Source: HSJ, 13 February 2023 -
Content ArticleThe workshops found five main risks to integration that appear to remain unresolved by current reforms. These are: Embedded culture and behaviours and inter-organisational power dynamics Organisational complexity, duplication, and overlapping focus Resource constraints Difficulties in defining, measuring and evaluating integration Integration fatigue. In response, this report offers some suggested approaches to mitigating those risks, which should be the focus of system leaders as partnerships take hold. These include: Ways of building integration into the day job Bringing clarity to the complexity of governance structures Better use of performance management, metrics and data Fostering culture change through greater mutual understanding Rebalancing capacity, including management capacity.
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The potential of Health Justice Partnerships in Integrated Care Systems
Patient-Safety-Learning posted a calendar event in Community Calendar
untilJoin us to learn how welfare rights advice services are being integrated with healthcare nationwide to tackle poverty and health inequality. This event will be of interest to people working in Integrated Care Systems and public health policy and practice. Taking action on poverty and health inequality is ever more important for the NHS, as the current cost of living crisis increases hardship among communities. The consequences for health and wellbeing will be felt most keenly among low income and vulnerable patient groups. Health justice partnerships are targeted interventions that support patients with social and economic circumstances that are root causes of health inequality. They are partnerships between health services and organisations specialising in welfare rights. Advice on welfare rights issues is integrated with patient care, helping people resolve problems relating to benefits, debt, housing, employment and immigration, among others. This can support those in the hardest circumstances to maximise their health and wellbeing. This one-day in-person workshop is an opportunity to learn about health justice partnerships and how they are being implemented across the country in a range of NHS settings. We will be joined by speakers who are engaged in service delivery, policy and research, who will provide examples and insights from their work. Speakers will include: Professor Dame Hazel Genn, Director of the Centre for Access to Justice, UCL Cedi Frederick, Chair of the NHS Kent and Medway Integrated Care Board Natalie Davis, Head of Legal Support Policy, Ministry of Justice Catherine McClennan, Director of the Women’s Health and Maternity Programme, Cheshire and Merseyside Health & Care Partnership Paul Sweeting, Insight and Performance Partner, Macmillan Cancer Support Refreshments are provided and there will be opportunities for discussion and networking. Outline of the day (provisional timings) 09.15: Registration and refreshments 10.15: Plenary session 1 - Introducing Health Justice Partnerships 11.45: Plenary session 2 - Health Justice Partnership case studies 13.00: Lunch provided 14.00: Plenary session 3 - Implementing Health Justice Partnerships 15.15: Group discussion session 4 - Where next for you? 16.30: Refreshments and networking Please see our website for further information on Health Justice Partnerships. Register for a place This event is supported by The Legal Education Foundation. -
News Article
Medicines blackout threatens ICS prevention target
Patient Safety Learning posted a news article in News
The government’s target for England to become smoke-free by 2030 – which integrated care systems are expected to pursue – is being undermined by the unavailability of two smoking cessation medicines. The objective, set by government in 2019, is being taken forward by many ICSs, as they seek to prevent premature illness and death, and narrow health inequalities, with smoking rates normally higher in more deprived populations. However HSJ analysis of drug shortages revealed that the two cessation medicines are both currently unavailable for an extended period. Champix (varenicline) has been unavailable since October 2021, a situation exacerbated by the absence of Zyban (bupropion), since December 2022. Both drugs were withdrawn because of concerns about the presence of nitrosamines, which may increase risk of cancer if people are exposed to them above acceptable levels, and will be subject to further tests and regulatory checks if they are to return. Matthew Evison, a lung cancer and tobacco dependency specialist at Manchester University Foundation Trust, said Champix was clinicians’ “most powerful weapon” against smoking. He said the treatment gap would make the target harder because “smoking prevalence declines will be slower without varenicline”. Read full story Source: HSJ, 30 January 2023 -
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ICS cancels four urgent treatment centre contracts after performance concerns
Patient_Safety_Learning posted a news article in News
An integrated care system has terminated a private provider’s contract to run four urgent treatment centres following performance concerns. Two local acute trusts were expected to take over from provider Greenbrook Healthcare this week, following the decision by North West London ICS. The impacted sites include Hillingdon UTC, which is co-located with the Hillingdon Hospitals Foundation Trust, as well as the Ealing, Central Middlesex and Northwick Park sites that are near to the respective hospitals run by London North West University Healthcare Trust. Read full article (paywalled) Source: HSJ, 24 January 2023 -
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News ArticleAn ICS chief has said the NHS workforce crisis is not the result of a ‘funding issue’ but caused by an inefficient use of resources. Patricia Miller, chief executive of Dorset Integrated Care Board, told a board meeting on Thursday that “constantly talking about the NHS needing more money” was undermining leaders’ case to government. She said: “We have got a workforce issue in the NHS, there is no doubt about that. I don’t actually believe we have got a funding issue. We just don’t use our resources very efficiently and I don’t think we do our case any positive favour with government when we’re constantly talking about the NHS needing more money when we can’t demonstrate that what we do is efficient. “So I don’t actually accept we’ve got a funding issue unless we start to work at the optimum and then we can absolutely demonstrate that. “I think what this comes down to is that our systems are too complicated and that starts at the centre, where every initiative we have is not about redesigning service models end-to-end but about layering on different solutions to different ends of the pathway and it just makes it more complicated. “I’ve no doubt that we’ve probably got 50-plus entrance and exit points to our urgent emergency care service, it’s ridiculous. I can’t navigate my way around 50 or 60, so there’s no way a patient can do it.” Read full story (paywalled) Source: HSJ, 6 January 2023
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News ArticleSome integrated care systems (ICSs) still require “an awful lot of control” from the centre, Patricia Hewitt has told HSJ, tempering any expectations that her government-commissioned review will bring about a wholesale roll-back of national performance management. The former Labour health secretary, who is also an integrated care board chair, was commissioned in November by chancellor Jeremy Hunt and health secretary Steve Barclay to review ICS autonomy and accountability. In her first interview since she started the work, Ms Hewitt also said: She had not ruled out “legislative tweaks” as a result of her review, but emphasised ICBs already had substantial ”soft power”; Some ICBs were still indulging in ‘old school’ combative behaviour, and stressed they should not become ‘top down regulators’; She wanted to “catalyse” the Care Quality Commission’s move to focus on systems and integration; and It appeared there were probably too many non-clinical support staff in the NHS, but not too many managers, and she would look more closely at the issue. Read full story Source: HSJ, 30 December 2022
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News ArticleThe government could scrap a number of NHS targets after a review of the health service, it has been reported. Chancellor Jeremy Hunt and health secretary Steve Barclay commissioned Patricia Hewitt, a former Labour health secretary, last month to review how the NHS’s new integrated care systems should work, as well as how the health service should work to “empower local leaders”, giving them more autonomy. According to the i newspaper, the government could abolish a majority of health service targets as a result of the review, so it can be run along similar lines to schools. Ms Hewitt is set to publish her review next spring. The newspaper said ministers believe the NHS has become “overly centralised”, with doctors and trusts having to meet many different targets - more than 70 for GPs - and forced to tailor their work to meet them. Instead, the government would rather run the NHS “more like we do the schools system”, a senior government source told the i, giving local leaders increased responsibility on how to effectively meet NHS goals. The idea of fewer targets was received positively by the Royal College of GPs, which described many of the targets as “tick box exercises”. Professor Kamila Hawthorne, chair of the Royal College of GPs, told the newspaper that GPs are working under “intense workload” and pressure, with a “bureaucratic burden” adding to their workload. Read full story Source: The Independent, 26 December 2022
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Content ArticleTrade unions representing some NHS staff are in dispute with the Government over the 2022/23 pay award. In addition to the RCN strike action on 15 and 20 December, GMB, Unite, and Unison members will take part in industrial action with nine ambulance trusts expected to be affected on 21 December and eight ambulance trusts expected to be affected on 28 December. This letter outlines three essential measures: Ensure measures are in place to enable all ambulances to handover patients no later than 15 minutes after arrival. Free up maximum bed capacity by safely discharging patients, working closely with system partners, in advance of industrial action. Confirm system-level operational plans for the days of ambulance industrial action with NHS England regional teams by 16:00 Monday 19 December to allow for any additional support to be considered and arranged. These plans must include how Emergency Departments will ensure the release of all ambulances within 15 minutes.
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EventuntilThe NHS England National Patient Safety Team are hosting two workshops to support Integrated Care Boards to prepare to transition to the new Patient Safety Incident Response Framework (PSIRF). The workshops will be held across two dates Monday 16 January 2023 and Tuesday 17 January 2023 to create smaller group sizes for discussion. The content will be the same across both dates. The webinar will cover: Introduction and latest updates on PSIRF. How oversight changes under PSIRF. The new role of the ICB. Working collaboratively with providers. Training requirements. Q&As. Speakers: Tracey Herlihey, Head of Patient Safety Incident Response Policy, NHS England Lauren Mosely, Head of Patient Safety Implementation, NHS England. Register
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King's Fund: Health inequalities – from evidence to action
Patient Safety Learning posted a calendar event in Community Calendar
untilThe Covid-19 pandemic has laid bare deep-seated health inequalities and the issue is now at the forefront of the minds of people across the health and care system, as they seek to develop strategies aimed at reducing health inequalities at a regional, integrated care system (ICS) and place level. This conference will bring together individuals and teams developing health inequalities strategies. We will discuss the need for universal action at a population health level and targeted action to address issues affecting people facing the worst health outcomes, showing how these two approaches interlink. The conference will also explore opportunities across health and care to tackle health inequalities and learn from local and international leaders about how they are overcoming the challenges of turning evidence into action to make a difference to health inequalities. Register -
Content ArticleAddressing these safety challenges must be a key priority for the new Prime Minister and Health Secretary. This report makes five recommendations, highlighting the vital role that the intelligent collection and monitoring of patient safety data, and the rapid response to any concerns they raise, can play in the continuous improvement of patient safety. Underpinning all of these recommendations is the principle that, first and foremost, patient safety needs to be seen and truly understood from the patient’s perspective. Recommendations: The breadth of patient safety data needs to increase. The accuracy of key patient safety measures needs to improve. A workforce plan for the NHS and social care system is urgently needed. Integrated Care Systems need to play a central role in monitoring patient safety. Progress in the safety of maternity services needs to accelerate.
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Each NHS Trust and local pharmacies in Dorset have been promoting awareness and providing updates for staff and patients on medications without harm and medicines safety following World Patient Safety Day in September. On Monday 17 October we held a face-to-face event to share learning from medicines incidents and to specifically focus on the safety improvement programme to reduce harm from opiate drugs in our communities. This provided an excellent opportunity to network with other healthcare professionals. Speakers on the day were: Head of Medicines Improvement at NHS Dorset who set the scene for the morning with facts and figures for discussion. Clinical Lead for the Wessex Academic Health Science Network Polypharmacy programme provided an update on the wider safety improvement work. Patient Safety Specialist with NHS Dorset presented a patient story of a person that died following accidental fatal intoxication with liquid morphine. Deputy Chief Pharmacist at Dorset County Hospital (DCH) and long serving Medicines Safety officer in Dorset shared the improvement work that has taken place in DCH in relation to opiate prescribing on discharge. Dr Sarah Kay, GP lead for Patient Safety with NHS Dorset, concluded the morning with a facilitated discussion session to share best practice and consider how organisations can work together to improve medicines safety. Attendees included Primary Care Network (PCN) pharmacists, hospital trust pharmacists, NHSD patient safety teams, medicines optimisation team, primary care team, AHSNs. In Dorset we prescribe almost double the volume of liquid opioids to patients in our hospitals when compared with others in our region. This increases the risk of prolonged prescribing in primary care, which can lead to long-term tolerance and dependency, and contributes to nearly 700 patients requesting multiple liquid opioid prescriptions each month for chronic non-cancer pain. This prescribing is having a disproportionate impact on women between 40 and 60 years of age and in more deprived areas of our county. At the event, we heard from some acute trusts and PCN colleagues who are having success in reducing opiate usage and promoting safe pain management strategies for people, as well as from the Wessex AHSN who can support ongoing improvement programmes. The morning was compered by NHS Dorset Patient Safety Partner (volunteer lay role) Simon Wraw who ensured the patient perspective was part of our discussions. The opportunity to meet face to face with colleagues was really valuable, as well as making new counterpart connections for each professional group. Feedback from attendees was positive and we hope to run a similar event in the future with a different topic focus. On the topic of networking, we have also contributed to the setup of the NHSE South West GP Quality Network. A scoping meeting was held in October to co-produce a plan for the network with participants. We hope to build the network, so if you work in any patient safety role across the South West and have an interest in general practice and connecting with colleagues to share good ideas and troubleshoot problems together please get in touch. The next network meeting will be 22 February 2023. Please email england.swqualityhub@nhs.net for an invite. Further reading See our recent Patient Safety Spotlight interview with Sarah and Jaydee. -
Content ArticleSpeakers at the webinar included: Helen Hassell, carer and member of the NHS Assembly, and Sophie Randall, Director at PIF, on the work the Patients Association, PIF, and Nottingham and Nottinghamshire Integrated Care System (ICS) are doing to improve patients' experience of treatment for muscle and bone problems. Dr Debbie Freake, Board Director National Centre for Rural Health and Care and former GP on the challenges of partnering in rural communities and the importance of "making noise". Heather Aylward, Public Engagement Manager, and Lauren Oldershaw, Senior Communications Officer, from NHS Hertfordshire and West Essex Integrated Care Board, and Claire Uwins, Much Haddam patient partnership group (PPG) on our project with them to support PPGs in the Board's GP practices.
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News Article
ICSs may be breaching patient confidentiality, watchdog warns
Patient Safety Learning posted a news article in News
The health service’s independent data watchdog has issued a warning to local NHS bodies over concerns confidential patient information is being shared unlawfully with third parties, including for ‘population health’ analysis. In a letter to integrated care systems (ICSs), National Data Guardian Nicola Byrne and UK Caldicott Guardian Council chair Arjun Dhillon said they had both “been made aware that within some local record sharing programmes, organisations could be processing confidential patient information without ensuring that the processing does not breach confidentiality”. They added among the four areas of concern health and care staff had raised with them was that confidential patient information may be being transferred from local record sharing programmes to third party hosted secure data environments. Secure Data Environments are data storage and access platforms where organisations can apply to access data for planning and research purposes. It is not clear what kind of patient data may have been unlawfully shared. Read full story (paywalled) Source: HSJ, 17 November 2022 -
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Half of ICSs lack plan against ‘constantly evolving’ cyber attacks
Patient Safety Learning posted a news article in News
At least half of integrated care systems (ICS) lack plans for responding to cyberattacks, at a time of increasing cyber risks, HSJ can reveal. The findings also come at a time when the threat posed by cyber attackers is “constantly evolving”, and in the wake of a recent high-profile attack on a supplier to several trusts. In August 2021, NHS England published a framework – What Good Looks Like – to set out what ICSs and member organisations must achieve to be considered digitally mature. Requirements included that all ICSs should have a system-wide plan for “maintaining robust cybersecurity” with “centralised capabilities to provide support across all organisations”. However, 20 ICSs have told HSJ they do not yet have such a cybersecurity strategy or plan in place. Nine ICSs said they did, while the remaining 13 ICSs did not respond. This is despite the NHS being subjected to a growing number of cyber attacks. In 2020-21, NHS Digital reported the health service had been targeted roughly 21 million times on a monthly basis, which marked an increase since before the pandemic. Most of these are malicious emails containing malware and are automatically blocked by cyber defence and monitoring systems. However, in August, a dozen mental health trusts and several NHS 111 and urgent care providers were badly affected by a cyber attack on one of their IT suppliers, Advanced. Several trusts have not yet regained full access to their electronic patient record three months on from the attack. Read full story (paywalled) Source: HSJ, 11 November 2022
